Active NPI
Ruth E Bazick, RN
- Community Health Registered Nurse
- Monroe, MI
National Provider Identifier
1992955850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 4704074252
- Practice address
- 1001 S Raisinville Rd
Monroe, MI 48161-9754 - Phone
- (734) 243-7340
- Fax
- (734) 243-5506
- NPI assigned
- Sep 26, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 4704074252 | MI | Primary |
Addresses
Primary practice location
1001 S Raisinville Rd
Monroe, MI 48161-9754
Mailing address
1001 S Raisinville Rd
Monroe, MI 48161-9754
Phone (734) 243-7340
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3492124 | Medicaid | MI | |
| OE86008029 | Other | MI | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704074252 | MI | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222387200000",
"number": "1992955850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 S RAISINVILLE RD",
"city": "MONROE",
"state": "MI",
"postal_code": "481619754",
"telephone_number": "734-243-7340",
"fax_number": "734-243-5506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 S RAISINVILLE RD",
"city": "MONROE",
"state": "MI",
"postal_code": "481619754",
"telephone_number": "734-243-7340",
"fax_number": "734-243-5506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAZICK",
"first_name": "RUTH",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-26",
"last_updated": "2008-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "MI",
"license": "4704074252",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3492124",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "OE86008029",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monroe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.